Siwoon Kim, PH.D, LA.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

19651 Issued in CA

Practice address

3000 W 6TH St Ste 203
Los Angeles, CA 90020-1564

Phone

(213) 326-5151

NPI assigned

Jan 4, 2023

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• My Body Story LLC

  • Acupuncturist
  • Los Angeles, CA
  • NPI 1689375800
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1672790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672790400000",
    "number": "1548973571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 W 6TH ST STE 203",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900201564",
            "telephone_number": "213-326-5151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 W 6TH ST STE 203",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900201564",
            "telephone_number": "213-326-5151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "SIWOON",
        "credential": "PH.D, LA.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-01-04",
        "last_updated": "2023-01-04",
        "certification_date": "2023-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "19651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shawna Kim
• Shi Myoung Kim
• Shin Il Kim, NP
• Shin Sung Kim, ACUPUNCTURIST
• Shinyoung Kim
• Sohn G Kim, MD, PHD
• Sohyun Kim
• Sohyun An Kim, BCBA
• Sol Kim
• Solomon K Kim, LAC

• Acupuncturist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.